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Checklist for percutaneous tracheostomy

Checklist for percutaneous tracheostomy. Pre withdrawal of ETT Team brief Name and role Operator Bronchoscopy Airway assistant Runner Check patient Consent Relatives informed Check contraindications Clotting and platelets Airway anatomy (USS) Level of ventilator support

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Checklist for percutaneous tracheostomy

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  1. Checklist for percutaneous tracheostomy • Pre withdrawal of ETT • Team brief • Name and role • Operator • Bronchoscopy • Airway assistant • Runner • Check patient • Consent • Relatives informed • Check contraindications • Clotting and platelets • Airway anatomy (USS) • Level of ventilator support • Feed off/aspirated • Equipment check • Tracheostomy kit • Sandbag • Airway equipment • Bronchoscope • Monitoring • Emergency drugs • Post procedure • Satisfactory position • Position confirmed with capnography • Position confirmed using bronchoscope • Tracheostomy secured • Equipment • Have we accounted for the sharps used? • Is the inner tube in place? • Spare inner tube saved? • Records • Who will record procedure and what complications should be recorded? • Who will complete the bed head sign? • Patient • Sedation weaning plan • Ventilation weaning plan • Re-start feed • Bed head sign attached to wall • Time Out – immediately prior to procedure starting • 100% Oxygen • Adequate sedation • Muscle relaxation given • Mandatory ventilator mode • Capnography in-situ • Positioning • Local anaesthetic to neck • Plan for procedure • Anticipated problems • Back-up plan RiCON Trachy checklist RBH

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